Individual provider Active NPI

Marilyn P Julian, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1396742136
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2505 Issued in TX
Practice address
1600 Medical Center Dr Ste 405
El Paso, TX 79902-5008
Phone
(915) 533-6690
Fax
(915) 532-3848
NPI assigned
Jul 7, 2005
Reactivated
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2505 TX Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 405
El Paso, TX 79902-5008

Mailing address

1600 Medical Center Dr Ste 405
El Paso, TX 79902-5008
Phone (915) 533-6690

Other identifiers 1

IdentifierTypeStateIssuer
031497301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614001636 TX Practitioner - Internal Medicine 1355325739 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2016 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2016 Accepting new patients
Sunshine Medical Care PLLC CurrentSince Jun 24, 2024 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

550 S Mesa Hills Dr
El Paso, TX 79912
Phone (915) 532-1587

2311 N Mesa St
Ste H
El Paso, TX 79902
Phone (915) 320-9476

1600 Medical Center Dr
Ste 405
El Paso, TX 79902
Phone (915) 532-1021

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1396742136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 405",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-533-6690",
            "fax_number": "915-532-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 405",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-533-6690",
            "fax_number": "915-532-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "MARILYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-02-10",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031497301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.